Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $500.66 / $1,120.00 / $2,380.00	Professional	AA	$500.66	$1,120.00	$2,380.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,089.00 / $1,089.00 / $1,267.50	Professional	QZ	$1,089.00	$1,089.00	$1,267.50
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QX	$195.00	$217.20	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QY	$195.00	$217.20	$247.56